42nd BCS VIVA Model Test – 06
1. What should be the first investigation in any patient presenting with chest pain ?
RBS.
Chest X ray PA view.
ECG.
Echocardiogram.
Serum troponin I.
2. Which of the following drugs does not have mortality benefit in Acute coronary syndrome ?
Antiplatelets.
Beta blockers.
Atorvastatins.
Nitroglycerin.
Thrombolytics.
3. A 50-year-old patient comes with history of tearing chest pain, the SBP is 120 mm Hg in right arm but 80mm Hg in left arm. What is the most likely diagnosis ?
Acute coronary syndrome.
Tension pneumothorax.
Aortic dissection.
Aortic aneurysm.
Pulmonary embolism.
4. Where will you do needle thoracostomy ?
1st ICS.
2nd ICS.
3rd ICS.
4th ICS.
5th ICS.
5. A smoker with history of chronic cough comes with acute shortness of breath. What is the most likely diagnosis ?
Bronchial Asthma.
ALVF.
CLVF.
COPD.
Atelectasis.
6. How many ampoules of Inj. Furosemide/Lasix we usually inject in a patient with ALVF ?
1 ampoule.
10 ampoules.
20 ampoules
3-4 ampoules.
Do not give furosemide unless a cardiologist arrives.
7. What is the saturation cutoff for oxygen supplementation in a patient suspected of having COVID-19 ?
<90%
<88%
<95%
<94%
<92%.
8. What is the most important step in managing anaphylaxis ?
High flow oxygen.
Inj Adrenaline IM.
Inj. Adrenaline IV.
Inj Pheniramine.
Inj Hydrocortisone.
9. During GCS scoring a Verbal score of 3 corresponds to ?
Oriented to time, place, and person.
Incomprehensible sounds.
Confused.
Inappropriate words.
No response.
10. A Motor response score of 4 in GCS corresponds to ?
Obeys command.
No response.
Moves to localize pain.
Withdraw from pain.
Abnormal flexion.
11. Which of the following is not a management step of status epilepticus at UHC level ?
Secure airway.
Give oxygen.
Lateral decubitus position.
Inj Diazepam 10 mg IV stat.
Intubation and general anaesthesia.
12. Which of the following is not a cause of hematemesis ?
Pharyngitis.
PUD.
CLD.
Gastric erosion.
Esophageal erosion.
13. In patient with suspected hypovolemic shock the 500ml Normal saline IV should be given within ?
5 minutes.
10 minutes.
15 minutes.
25 minutes.
30 minutes.
14. Which of the following is not a feature of OPC poisoning ?
Miosis.
Crepitations in lungs.
Tachycardia.
Bradycardia.
Hypotension.
15. How much atropine is there in 1 ampoule ?
.5mg.
.6mg.
1mg.
3mg
.4mg
16. Stomach wash is recommended in poisoning within ?
1 hour.
80 minutes.
2 hours
12 hours.
6 hours.
17. Specific drug to treat OPC poisoning is ?
Atropine.
Pralidoxime.
Physostigmine.
Atracurium.
Neostigmine.
18. Which of the following drug cause Mydriasis ?
Heroin.
Morphine.
Pethidine.
Amphetamine.
Tramadol.
19. Which is contraindicated in kerosene poisoning ?
Stomach wash.
NPO.
Normal saline.
Antibiotics.
Antiulcerants.
20. In a glass test-tube whole blood clotting test, what time is significant for poisonous snake bite ?
No clotting in 20 minutes.
No clotting in 2 minutes.
No clotting in 5 minutes.
No clotting in 15 minutes.
No clotting in 17 minutes.
21. Which of the following is not a sign of severe dehydration ?
Lethargy.
Unconsciousness.
Sunken eyes.
Unable to drink.
Thirsty.
22. Which of the following is a cause of seizure with fever ?
Epilepsy.
Encephalopathy.
ICSOL.
Hypoglycemia.
Tubercular meningitis.
23. Which of the following is not a feature of febrile seizure ?
Age is 6 months to 6 years.
Generalized seizure.
Partial seizure.
Absence of signs of meningitis.
No residual neurodeficit.
24. The dose of rectal diazepam in febrile seizure ?
.4mg/kg
.1mg/kg
.04mg/kg
.05mg/kg.
.5mg/kg.
25. In Parkland formula 50% of 24h requirement is given within ?
15 minutes.
1 hour.
6 hour.
8 hour.
16 hour
26. Which of the following is contraindication of nitroglycerin in ACS ?
Bradycardia.
Lung creps.
Hypotension.
Severe pain.
Anterior MI.
27. Which of the following is a cause of bloody diarrhea ?
Enterotoxigenic E. coli.
Staph aureus.
Vibrio cholera.
Bacillus cereus.
Shigella.
Rotavirus
28. a 50 years old male came to you with severe chest pain with sweating, cold clammy skin, nausea & vomiting. On examination you found BP 80/60 mm of Hg. What is your diagnosis ?
Acute coronary syndrome.
Aortic dissection.
Aortic aneurysm.
Pulmonary embolism.
Pneumothorax.
29. What you don’t expect in ECG in ACS ?
ST-elevation,
ST depression
Q' waves
'T' inversion
PR depression.
30. What will you give if a patient comes after hours of MI onset or have no ST elevation or non Q wave MI ?
Unfractionated heparin.
Alteplase
Reteplase.
Urokinase.
LMW heparin.
31. Complications of MI does not include ?
VF
Ventricular tachycardia
AF
Torsades de Pointes.
Complete heart block
32. What is the most dangerous complications of MI ?
Ventricular fibrillation
AF
SVT
Complete heart block
Heart failure
33. Feature of acute severe asthma does not include:
HR> 110/min
Inability to complete a sentence in one breathing
PEFR 33-50% predicted
RR>25/min
PEFR <33% predicted.
34. Respiratory failure is a complication of uncontrolled COPD. Which of the following is not a sign of respiratory failure ?
Cold periphery.
Tongue-cyanosed
Warm periphery
Bounding pulse
Flapping tremor
35. A 45-year-old man came to the emergency with sudden severe chest pain & breathlessness. On examination you found him cyanosed, silent chest & in shock. He is a known case of COPD. What is your impression ?
ACS.
Tension pneumothorax.
Pneumonia.
Pulmonary embolus.
Pulmonary edema.
36. What is the first test in patient with suspected stroke ?
ECG.
Echo.
CBC with ESR.
CT head.
MRI brain.
37. A 35 years old lady presents with fever for 10 days followed by unconsciousness. Which of the following is less likely ?
Viral Meningitis
Pyogenic meningitis.
Cerebral malaria
Meningoencephalitis.
ICSOL.
38. Sings of meningitis does not include ?
Neck rigidity
Kernigs sign
Brudzinski sign
Altered consciousness
Xanthochromasia.
39. Signs of atropinization in OPC poisoning includes ?
Miosis.
Mydriasis
Lung creps.
Cold axilla.
Cold skin.
40. Specific antidote of benzodiazepine poisoning is ?
Naloxone.
Ranolazine.
Flumazenil.
Fluoxetine.
NAC.
41. An unconscious patient came to u without attendants by police or unknown people and the patient was found unconscious in a basement of flyover. What is your diagnosis ?
Heroin overdose.
Dhatura poisoning.
OPC poisoning.
Benzodiazepine overdose.
Paracetamol overdose.
42. Which of the following is not a danger sign in pneumonia ?
Stridor
Fast breathing
Chest wall indrawing and
Labored breathing
Cough.
43. Definition of fast breathing in a child 2 month-12 months old is ?
>60 breaths/min
>45 breaths/min.
>50 breaths /min.
>40 breaths/min
>25 breaths/min.
44. Commonest site of ectopic pregnancy is ?
Fallopian tube.
Ovary.
Uterus.
Cervix.
Broad ligament.
45. Which of the following is not a cause of abortion ?
Chromosomal abnormalities
Cervical incompetence.
Ischemic heart disease.
Fibroid uterus.
Thyroid abnormalities
46. Total score in modified Alvarado scoring system is ?
8
10
12
9.
7.
47. Which of the following is not an incision for appendicectomy ?
Grid iron incision.
Rutherford Morison muscle cutting incision.
Lanz incision.
Right lower paramedian incision.
Upper midline incision.
48. GCS 9-13 suggest ?
No head injury.
Minor head injury.
Mild head injury.
Moderate head injury
Severe head injury.
49. Which of the following is not an indication of CT scan in head injury ?
GCS < 13 at any point.
GCS 13 or 14 for 2 hours or more.
Focal neurological sign.
Seizure.
Headache.
50. Which of following is not a fate of acute appendicitis ?
Resolution
Appendicular lump
Intestinal obstruction.
Appendicular abscess
Burst appendix
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